Transcript Highlights:

• protects, and advocates for the rights and self-determination of Texans with intellectual and developmental
• had very, very good data, not only from around the state, but around the nation that showed what programs
• these changes back in 2015 is what we could show empirically, show it through data that having these programs
• sure about your exact area, but for the rest of the state and the rest of the nation, these kind of programs
• The courts will say, hey, if you're in a GED program, we'll waive your community service because we know

Transcript Highlights:

• defiance or non-compliance and provides information on the safe designation in the Blue Envelope Program
• The Blue Envelope Program creates a blue envelope to support effective communication during traffic stops
• First, the voluntary nature of the Blue Envelope Program is great.
• defiance or non-compliance and provides information on the safe designation in the Blue Envalute Program
• First, the voluntary nature of the Blue Envelope program is great.

Bills: S0132, S0418, S0646, S0820, S1734

Keywords: voting rights, felony conviction, database, Florida Commission on Offender Review, restoration of rights, autism spectrum disorder, law enforcement, communication, training, blue envelope, blue card, drug paraphernalia, narcotic testing, fentanyl, controlled substances, civil forfeiture, juvenile justice, detention, Medal of Heroism, probation officers

Summary: The Appropriations Committee on Criminal and Civil Justice met with a quorum and took up several bills. SB 646, relating to drug paraphernalia, was presented by President Gates as a narrow measure to allow drug testing tools such as fentanyl test strips and reagent kits to detect dangerous adulterants and help prevent overdose deaths. Senator Osgood spoke in strong support, describing the bill as important for people in recovery. The bill had one support appearance and was reported favorably by unanimous roll call. The committee then heard SB 418 on law enforcement interactions with individuals with autism spectrum disorder. Senator Jones explained that the bill requires autism awareness and communication/de-escalation training for officers and creates a voluntary Blue Envelope Program for drivers with ASD. Multiple advocates, including Disability Rights Florida, an Autism Society representative, parents, and a retired federal officer, testified in support, emphasizing safety, communication, and the need to avoid tragic misunderstandings during police encounters. Senators also discussed whether broader disability training should be considered in the future. SB 418 was reported favorably unanimously. Next, the committee considered SB 132 on restoration of voting rights, which would require the Florida Commission on Offender Review to create and maintain a public database to help people determine whether they have completed sentence requirements for rights restoration and to publish clearer instructions for eligible individuals. An amendment was adopted to make the database subject to legislative appropriation. The bill was then reported favorably. The committee also approved SB 1734, which recognizes juvenile probation and detention officers as officers under state law and extends training, certification, and certain benefits, and CS/SB 820, which strengthens reporting requirements for problem-solving courts and sets annual reporting deadlines. Both bills were reported favorably after brief discussion and support appearances.

Transcript Highlights:

• facilitate any other homeless program. facilitate any other homeless program.
• <01:15:12.280> Does program. So, what does that mean? Does program.
• or under the homeless programs office. or under the homeless programs office.
• and all respite programs together. and all respite programs together.
• positions to support the program. positions to support the program.

Bills: SB709, SB2089, SB2090, SB2108, SB2211, SB2250, SB2325, SB2803, SB2866, SB3245

Keywords: mental health, crisis intervention, assisted community treatment, treatment orders, law enforcement training, public safety, court-ordered treatment, Medicaid, healthcare access, unlicensed professionals, supervised services, workforce development, mental health equity, child custody, evaluations, licensed counselors, family court, juvenile justice, waiver of jurisdiction, transfer to adult court

Summary: The committee heard SB 709 SD2, which would require the Department of Health to respond to reports involving persons with severe mental illness, assess eligibility for assisted community treatment, and coordinate treatment when appropriate. Testimony from the Department of Human Services and the Department of Health supported the measure, with DOH saying it generally supported the bill but had comments on one section it viewed as unnecessary. The Department of Law Enforcement later explained that the bill would shift certification and standards for crisis intervention officer training from DOH to DLE, while still involving DOH in the training process. Opposition came from the Hawaii Disability Rights Center and an individual testifier, both of whom argued the bill expands state authority over people with mental illness and could worsen forced treatment practices. The Disability Rights Center also raised procedural concerns, saying the bill was effectively moved from a prior administration measure that had not been heard this session, and questioned whether the bill’s changes to assisted community treatment, blood tests, urinalysis, and living arrangements went beyond current law. The individual testifier argued the bill would further entrench harmful psychiatric drugging and urged the committee to defer it. Committee members questioned the administration about the bill’s process, the role of the Attorney General in treatment-over-objection proceedings, and the practical effects of moving CIT certification to DLE. The Attorney General’s office said the bill was intended to fill a gap by allowing it to assist with treatment proceedings, while public defenders would continue to represent respondents and due process protections would remain in place. DLE and DOH said the change would better align certification with law enforcement training needs, improve speed in crisis response, and still keep DOH involved; members also discussed whether WAM counted as a hearing and whether the bill should more explicitly preserve DOH’s role. No vote or final action was taken in the portion provided.

Transcript Highlights:

• act relative to real property annual reporting requirements of state departments for permitting programs
• While the New Hampshire Council of Developmental Disabilities supports the bill, they testified their
• While the New Hampshire<00:24:31.600> Council<00:24:32.000> of<00:24:32.159> Developmental
• Hampshire Council of Developmental Hampshire Council of Developmental Disabilities<00:24:33.360>

Keywords: 1189, house, all

Transcript Highlights:

• The first one is in program ID HRD102.
• Ishibashi, our program specialist. uh J. Ishibashi, our program specialist.
• . program. program.
• recruiting for the program.
• program analysts. program analysts.

Bills: SB1, SB4, SB6, SB9, SB16, SB17, SB20, SB22, SB28, SB29, SB36, SB41, SB45, SB77, SB85, SB87, SB96, SB98, SB110, SB126, SB139, SB143, SB164, SB167, SB171, SB186, SB188, SB195, SB197, SB198, SB204, SB205, SB206, SB207, SB209, SB210, SB211, SB217, SB219, SB220, SB225, SB231, SB237, SB238, SB241, SB244, SB246, SB247, SB272, SB294, SB315, SB346, SB364, SB366, SB367, SB386, SB392, SB403, SB415, SB427, SB431, SB437, SB457, SB459, SB469, SB471, SB478, SB484, SB489, SB502, SB503, SB507, SB508, SB510, SB516, SB517, SB518, SB519, SB521, SB535, SB543, SB550, SB564, SB568, SB570, SB575, SB577, SB578, SB590, SB607, SB616, SB621, SB634, SB644, SB647, SB649, SB652, SB655, SB656, SB663

Keywords: agricultural lands, foreign ownership, state agriculture policy, real estate regulation, land conservation, SB4, Royal Mausoleum, Mauna Ala, Office of Hawaiian Affairs, OHA, Department of Land and Natural Resources, DLNR, stewardship, Hawaiian affairs, cemetery, burial site, ancestral remains, cultural preservation, state land management, agency transfer

Transcript Highlights:

• He has a diagnosis of autism spectrum disorder and developmental delay.
• Don't cave in to that giveaway program down giving away money—we got needs up here, okay?

Bills: SB1, SB83, SB159, SB160, SB1

Keywords: workers' compensation, public education, employee injury, insurance trust fund, on-the-job injury, administrative procedures, adult-size changing table, changing station, accessible restroom, public bathroom, public building, public entity, ADA, Americans with Disabilities Act, accessibility, restroom renovation, new construction, grant program, state grant, local government facilities

Transcript Highlights:

• Legislative Council Program 1222, Legislature, general fund, fiscal 2026-27, $12 million.
• Child nutrition programs see at no cost such student.
• The proceeds of the fund shall be used to fund the program.
• The bill also includes carryover and program funding language. ...the appropriation of the program for
• Nebraska Disclosure Commission Fund for the Disclosure Commission program.

Bills: LB764, LB815A, LB839, LB888, LB955, LB972A, LB1029, LB1087, LB1091, LB1126A, LB1181A, LB1237A, LB1261A, LB304A, LB762, LB889, LB929, LB966, LB1022, LB1187, LR508

Keywords: law enforcement, correctional services, Department of Correctional Services, corrections officers, state prison employees, peace officer, certification, police standards, training academy, Nebraska Commission on Law Enforcement and Criminal Justice, Nebraska Police Standards Advisory Council, criminal justice, correctional staff, conditional officer, law enforcement authority, public safety, LB815A, LB815, appropriation, appropriations bill

Transcript Highlights:

• Promote anti-bias, bullying prevention, and Holocaust and genocide education programs in school districts
• developmental developmental place<00:39:55.440> that<00:39:55.680> they<00:39:55.920><
• by myself in 2022 and in years prior related to who has standing in the mobile home park oversight program
• by myself in 2022 and in years prior related to who has standing in the mobile home park oversight program
• Back to the bill. park oversight program. Um it's a park oversight program.

Keywords: 981, all

Summary: The House convened, established a quorum, approved the corrected journal, and made several announcements, including recognition of Liberty Common High School seniors and Canyon Creek Elementary students visiting the Capitol. Committee meeting notices were also given for Judiciary and Transportation, Housing, and Local Government. The chamber then took up House Joint Resolution 1027, a Holocaust remembrance resolution sponsored by Representatives Weinberg and Woodrow and Senators Weissman and Ball. The resolution emphasized the history of the Holocaust, the rise in anti-Semitic incidents in Colorado and nationally, the importance of Holocaust and genocide education, and the need to combat bias and hate. Several members spoke in support, including personal reflections from Representatives Woodrow, Weinberg, Goldstein, and others about family history, survivor testimony, and the importance of remembrance and prevention. The House adopted HJR 1027 by vote, and Representatives Rutnell and Lindsay were added as co-sponsors. The chamber then set a slate of bills as special orders for April 14, 2026. In committee-of-the-whole action, House Bill 1288 on jury selection was amended and passed; the amended bill creates a jury selection working group to study voir dire, juror questionnaires, and related issues, with a public report and Supreme Court review of any proposed rule changes. House Bill 1224 on financial protections for mobile home park residents was also taken up, with committee reports adopted and discussion focused on transparency in park sales, resident purchase opportunities, disclosures, and due diligence protections. Representative Richardson offered amendment L006 to adjust how a state registration fee is allocated, describing it as a flexibility and transparency measure, while the sponsor responded that the bill was keeping the fee structure stable and that the existing split had been negotiated with stakeholders.

Transcript Highlights:

• > in<00:48:22.359> the principal leadership program in the principal leadership program
• Chairman, is the Truist program.
• mentorship program for principals. mentorship program for principals.
• principal support program. principal support program.
• programs to K-12 performance.

Keywords: 958, all

Transcript Highlights:

• regulatory program and of new inspection regulatory program and it<00:17:53.919> would<00:17:
• Hawaii State Council on Developmental Disabilities. Good morning, Chair, Vice Chair.
• I'm representing the Hawaii State Council on Developmental Disabilities as an intern.
• <00:25:53.039> preschool<00:25:54.039> kindergarten program preschool kindergarten program
• A community paramedicine mobile integrated health program, or a CPMI program, would focus on more community-based

Keywords: 910, house, all

Summary: The House Committee on Health heard testimony on several measures. On HB 1233 relating to storm water management, the Attorney General’s office said the state may need to share costs with counties for any new inspection or regulatory program. Testifiers strongly supported the bill, including the Hawaiian Lifeguard Association and a community member who described her daughter’s death in a poorly maintained detention pond and urged statewide inspections and a comprehensive approach. A member asked the Attorney General about the cost-sharing issue, and the office said state appropriations would be needed if counties are required to take on new duties. The committee then heard HB 245 on student heat exposure safety. The Department of Education, Department of Health, and the Hawaii State Council on Developmental Disabilities supported the measure. A physician testifying for the Climate Change and Health Working Group described children’s vulnerability to heat and cited examples from other states that adopted stronger heat guidelines after school heat deaths. The Department of Education said it could do the feasibility study without additional funding and preferred to wait for the study before deciding on equipment needs. The Attorney General’s office later testified on HB 903, authorizing schools to maintain bronchodilators, supporting the concept but warning that the bill’s definition of school was broad and that DOE may not have jurisdiction over all covered entities; it suggested changing “protocol” to “guidelines” and involving the Public Charter School Commission. On HB 1314 relating to youth mental health, the Department of Education testified in opposition, though no additional testimony was offered. The committee also heard HB 1334 on meat donation, with DLNR and the Hawaii Farm Bureau supporting the measure. HB 799 on health care drew support from HMSA and the Hawaii Association of Health Plans, while the Department of Health said it supported the intent but wanted amendments, including limiting the bill to Maui, adding a sunset, and requiring a study of quality and access impacts. On HB 952 relating to Parkinson’s disease research, the Department of Health said the proposal would require additional appropriations and staffing and suggested a public-private partnership approach; the Hawaii Parkinson Association, Queen’s clinicians, and other supporters testified that a registry would help identify the number of patients and improve care. Finally, SHPDA strongly supported HB 1431 establishing an oral health task force, saying the state lacks sufficient dental oversight and that both keiki and kūpuna need better access to services.

Transcript Highlights:

• House Bill 1593, developmental please.
• ,<01:21:03.520> Favorable Authorized Program, Favorable Authorized Program, Favorable Amendments
• It authorizes the establishment of an affordability program for the Maryland Automobile Insurance Program
• It authorizes the establishment of an affordability program for the Maryland Automobile Insurance Program
• So, um, what this bill does is it authorizes an affordability program, right?

Keywords: House streaming session for Saturday, March 21, 2026, 957, house, all

Summary: The House convened with 126 members present, heard the prayer, approved the previous day’s journal, and then took up a series of Senate messages and committee reports. Senate bills on consent calendars 21 and 22 were read the first time and referred to committees. The House then adopted favorable reports, often without amendment, on a wide range of bills including workers’ compensation evaluation procedures (HB 1325), a state shark designation (HB 97), several local alcoholic beverages measures, commemorative months for Muslim American Heritage and Jewish American Heritage (HB 661), and local license commissioner changes in Anne Arundel, Worcester, Harford, Baltimore City, and Prince George’s counties. Several bills were amended before being ordered printed for third reading. HB 121 (Baltimore County alcohol sales) was amended to change the sponsor to the Baltimore County delegation. HB 1335 on Department of Information Technology workforce recruitment and retention was amended to convert the measure into a study and recommendations report. HB 1037 on PSC oversight of broadband and VoIP was similarly amended from direct oversight to a study and report. HB 1164 on water and sewage rate consolidation and limited-income mechanisms was amended to remove rate-consolidation provisions, require a PSC study, and delay implementation. HB 1381 on stopping or parking in bike lanes added exceptions for emergency, transit, disability pickup/drop-off, disabled vehicles, loading/unloading, and construction or maintenance; HB 1504 prioritized sidewalk and bicycle pathway projects near highways with complete streets or Vision Zero policies; HB 912 adjusted community cat trap-neuter-return rules; and HB 969 clarified electric vehicle charging billing and service fees. The most extended debate centered on HB 639, the Transportation Aviation Passenger Health and Safety Act. After amendments turned it into a reporting measure for fixed-base operators and aviation service companies regarding flights carrying detained individuals, warrants, refueling, and emergency-response documentation, members questioned its practical operation, safety implications, and possible federal preemption issues. The floor leader explained the bill as amended was intended to gather information for Maryland safety and emergency planning. On motion of the committee chair, the House agreed to special order HB 639 until the end of the session for further clarification. The House also amended and advanced HB 1063 on hunting management, including deer damage permits and Sunday hunting rules, and heard a brief statement from an Eastern Shore delegate about the Rural Caucus’s approach to offering amendments rather than opposing bills outright. The session ended with HB 972, creating the Maryland Fair and Agricultural Education Promise Fund, amended to rename the bill in honor of the late Delegate Charles Otto and to replace lottery funding with an annual appropriation; the House adopted the amendments and the favorable report.

Transcript Highlights:

• My name is Mai Thor, and I am the Chief Program Officer for the Arc Minnesota.
• My name is Mai Thor, and I am the Chief Program Officer for the Arc Minnesota.
• years, the Arc Minnesota has been fighting for the human rights of people with intellectual and developmental
• years, the Arc Minnesota has been fighting for the human rights of people with intellectual and developmental
• years, the Arc Minnesota has been fighting for the human rights of people with intellectual and developmental

Keywords: 1187, senate, all

Transcript Highlights:

• the program this year.
• the program this year.
• the program this year.
• the program this year.
• So there's two different programs and approximately $750,000 per program each year. Yeah. Okay.

Keywords: 912, senate, all

Summary: The joint Health, Human Services, and Higher Education hearing took up HB 441 HD2, a measure to increase cigarette taxes and dedicate the revenue to the University of Hawaii Cancer Center. The Department of Taxation said it had no substantive objection but requested an effective date of January 1, 2026 if tax rates change so it can order new stamps. The Department of Health, the Deputy Attorney General/tobacco enforcement, the University of Hawaii Cancer Center, the Hawaii Public Health Institute, the American Cancer Society, the Hawaii Medical Association, and several other health organizations and youth advocates supported the bill, arguing that higher cigarette prices reduce youth initiation, encourage cessation, and help fund cancer research and care. Several supporters asked for a larger increase, including at least $1 per pack, while opponents from retail, wholesale, and tobacco-related groups argued the tax would be regressive, burden low-income smokers, and drive sales to the illicit market. The Tax Foundation and other opponents also criticized reliance on sin taxes and said smoking rates are already at historic lows. After testimony and questions, members discussed how the revenue should be used and whether higher taxes change smoker behavior or push people toward vaping or other alternatives. The chairs announced they would pass HB 441 HD2 with amendments, replacing the contents with SB 528 SD1 except for changes reflecting the Department of Taxation’s request and a provision directing all proceeds from the tax increase to the Hawaii Cancer Center’s debt reduction, with an effective date of December 31, 2025. The House Health, Human Services, and Higher Education committees then voted to adopt the recommendation; the Health, Human Services committee vote was adopted with Chair and several members voting aye and one member voting no in the Higher Education committee vote. The hearing also briefly covered HB 1334 on meat donation, which drew support from the Department of Agriculture, Hawaii Farm Bureau, food industry, and community groups, though no action was taken in the excerpt. The committee then heard HB 1098 on crimes against protective services workers. The Honolulu Prosecutor’s Office and Honolulu Police Department supported the bill, saying assaults on protective services workers can have chilling effects and deserve stronger deterrence; a committee question raised whether the bill should instead be part of a broader, more proactive approach to assault statutes. The Department of Human Services also described safety steps such as panic buttons and phone apps for social workers. The excerpt ends before any final vote on HB 1098.

Transcript Highlights:

• It contains some provisions that tweak the medical program.
• ; $5 million from a wetland restoration program at DNR.
• We increase program integrity for substance use disorder.
• We implement an early and ongoing training program.
• That's a new program. Cannabis has 150 new employees.

Transcript Highlights:

• . $75,000 in federal funding for an underrepresented community program. $75,000 in federal funding for
• an underrepresented community program.
• There was conversations about providing local grants for programming and the like.
• There was conversations about providing local grants for programming and the like.
• is for the 10% state match for the federal Safeguarding Tomorrow through Ongoing Risk Mitigation program

Bills: HB1603

Keywords: Native American, grave protection, repatriation, cultural heritage, tribal compliance, 908, all

Summary: The Appropriations Committee met with a quorum and announced it would begin meeting at 8 a.m. for the rest of the week to work through a growing bill list. The committee first approved House Bill 1603, a companion to the Historical Society budget dealing with NAGPRA, including a $500,000 matching grant to be divided among North Dakota’s five tribes and a committee to address repatriation of human remains and cultural items. The vote was unanimous, 15-0. The committee then considered House Bill 1225, which would increase penalties for reckless endangerment involving a firearm and create a mandatory prison term. After debate over public safety concerns versus the bill’s fiscal note and prison costs, the committee adopted a do not pass recommendation by a 9-6-1 vote. Members also discussed House Bill 1018, the State Historical Society budget, and approved an amendment that adjusted one-time funding items, including NAGPRA compliance, museum exhibits, military gallery funding, local historic grants, and line-of-credit repayment. The amended bill then received a due pass recommendation by a 14-2 vote. The committee next approved House Bill 1468, a behavioral health facility grant for St. Hayes, which supporters said would expand in-state access to acute and adolescent behavioral health care and reduce the need to send patients out of state. The bill passed 14-1. It then amended and passed House Bill 1485, increasing the personal needs allowance for certain Medicaid recipients by $15 and indexing it to inflation; the amendment and the bill as amended both passed 14-2. Finally, the committee approved House Bill 1016, the Adjutant General/National Guard budget, after adopting an amendment that funded disaster relief, response equipment, IT and website costs, and staffing changes for the watch center; the amended bill passed 14-2. The committee adjourned after completing six bills and planned to resume the next morning at 8 a.m.

Transcript Highlights:

• We are the Association of Domestic Violence Programs, and we represent 25 programs statewide, and we're
• All of our programs, all of our websites, all of our service providers from, you know, Programs and we
• represent 25 programs Programs and we represent 25 programs statewide<00:44:38.000> and<00:44
• This one has only one program.
• Stacy Tonuchi childcare subsidy program. Stacy Tonuchi childcare subsidy program.

Keywords: 910, house, all

Summary: The committee heard testimony on SB 281 SD1, which would define and prohibit torture as a Class A felony. The Honolulu Prosecutor’s Office, HPD investigators, and other supporters said the bill is needed because existing laws do not adequately capture torture, especially cases involving children and vulnerable persons. Several testifiers emphasized that starvation is a common method of torture that often leaves little visible evidence, and they urged the committee to restore the original starvation language removed from the measure. The Office of the Public Defender said it did not oppose the bill’s purpose but raised concerns that the language was too broad and could create trial issues, particularly around minors and vulnerable people, and suggested narrowing amendments. The chair indicated the testimony had made a strong impression and said the committee would try to move the bill forward. The committee then heard SB 292 SD1, relating to sexual exploitation and safe harbor protections for survivors seeking medical or law enforcement help. The Honolulu Prosecutor’s Office supported the measure, noting that a prior version raised equal protection concerns that were no longer present, and said survivors should be able to seek help without fear of prosecution. Written support was also noted from several advocacy and state groups. Testimony in support focused on retaliation fears, trafficking, and the need for manpower and resources to address exploitation and related crimes. Finally, the committee took up SB 295 SD1, which would increase penalties for violating temporary restraining orders and orders for protection and treat a violation of one as a second offense for the other. The Public Defender’s Office objected to the mandatory jail component, arguing judges should retain discretion and that there was no clear evidence mandatory jail deters violations. The transcript cuts off before any final committee action or vote on SB 295 was recorded.

Transcript Highlights:

• and competitive academic programs.
• At one point in time, we had the TOPS program that would cover 100% of your tuition.
• Individualized education program or plan.
• This program did literally 1,000 assignments, which this program did.
• That would trigger an optimization program or an optimization policy.

Keywords: 974, senate, all

Transcript Highlights:

• and competitive academic programs.
• athletic programs while we're asking the parents to please pay more, please pay more. ...programs while
• This program did literally 1,000 assignments, which This program did literally 1,000 assignments, which
• That would trigger an optimization program or an optimization policy.
• That would trigger an optimization program or an optimization policy.

Summary: The Senate Education Committee met to hear several education-related measures. It reported favorably, without objection, on House Bill 1215, which would transfer certain removed historical statues and monuments to the Office of State Parks, prohibit re-erection in the parish where they were removed, and require interpretive signage. The committee also advanced House Bill 682, which creates a school guardian program for honorably discharged veterans employed or contracted by local school systems or charter schools; testimony emphasized that guardians would be unarmed, trained, and used for mentoring and school safety. House Bill 1079, giving enrollment preferences in charter schools to children in early childhood programs, military families, foster children, and children in custody disputes, was also reported favorably, as was House Concurrent Resolution 81, directing the Department of Education to study options for districts facing declining enrollment. The committee then took up House Bill 1084, which would allow public postsecondary institutions to raise tuition and mandatory fees by up to 15 percent annually, with higher increases requiring Board of Supervisors approval. The bill drew extended debate over affordability, TOPS, student retention, and whether universities should have more autonomy to set prices. Members raised concerns about fee burdens on families and whether the state should first study the issue; supporters argued the bill would increase transparency and let institutions respond to funding needs and market conditions. Senator Mazzell offered an amendment lowering the cap from 15 percent to 10 percent, and the committee adopted the amendment before reporting the bill favorably as amended. Finally, the committee heard House Bill 342, which would shift the burden of proof in special education due process hearings from parents to local education agencies. The author and parents testified that the current system places an unfair burden on families of children with disabilities, who often lack access to records and legal resources, and that schools already control the documentation and should have to show compliance with IEP obligations. Jefferson Parish school officials opposed the bill, arguing it would increase legal costs, require more staff and attorney time, and potentially lead to more hearings; they also questioned the fiscal note. The Legislative Fiscal Office said the fiscal impact was indeterminable, and the committee continued hearing testimony from parents and school representatives as the transcript ended.

Transcript Highlights:

• We have a small managed care program, which is actually an accountable care organization program using
• the PASS program, which we have four MCOs that govern that program.
• We have a small managed care program, which is actually an accountable care organization program using
• the PASS program, which we have four MCOs that governs. using the PASS program, which we have four MCOs
• that govern that program.

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to receive a primer on the subcommittee’s history and on how Medicaid oversight works in Arkansas. Legislative audit staff reviewed the subcommittee’s origins in response to earlier Medicaid audit concerns and explained that Medicaid is audited every year in the statewide single audit because it is a high-risk, large federal program. Staff summarized recent audit findings, including issues with eligibility controls, data matching, contractor charging, incarcerated juveniles’ coverage handling, provider eligibility support, and the state’s Medicaid recovery audit contractor exception request. They also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for possible prosecution. The Department of Human Services gave an overview of the Medicaid program, describing eligibility groups, delivery systems (fee-for-service, managed care/PASSE, and premium assistance for expansion adults), the size of the program, and the agency’s budget and provider base. DHS also outlined the difference between state plan amendments and waivers and said other committee materials would be sent to members. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, explaining that it investigates suspected intentional fraud, suspends providers when there is a credible allegation of fraud, recovers improper payments in mistake cases, and recommends policy changes when trends are identified. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, handles neglect, abuse, and exploitation cases in long-term care settings, and works with DHS, OMIG, and federal partners. Members asked about where cases are filed, how provider suspensions work, whether beneficiary fraud is investigated, and how education is provided to providers. DHS confirmed that beneficiary fraud cases are referred to local prosecutors and said the expansion population will move toward community engagement/work requirements under federal changes, with a soft launch planned before full implementation. The meeting ended with no formal votes beyond adoption of the prior minutes and no other committee actions.

Transcript Highlights:

• , also known as federal awards or federal programs.
• However, Medicaid is not one of those programs.
• We have a small managed care program, which is actually an accountable care organization program.
• Using the PASS program, which we have four MCOs that govern that program.
• Into the Medicaid Program Trust Fund.

Summary: The Medicaid Subcommittee of the Legislative Joint Auditing Committee met to adopt the November 2018 minutes and receive a primer on the subcommittee’s role and Medicaid oversight in Arkansas. Legislative audit staff reviewed the subcommittee’s history and explained that Medicaid is audited annually through the statewide single audit because it is a high-risk federal program. Staff summarized recent audit findings, including weaknesses in eligibility and data-matching controls, improper use of Medicaid funds for partially non-Medicaid work, issues with incarcerated juveniles’ coverage, the absence of a Medicaid recovery audit contractor program exception request, reporting problems involving MFCU recoveries, and provider eligibility documentation concerns. Staff also noted a DHS departmental audit finding involving employees who improperly received benefits, which was referred for further action. The Department of Human Services gave an overview of Medicaid’s structure, eligibility, delivery systems, and budget. DHS described Arkansas Medicaid as covering about 850,000 people through fee-for-service, managed care, and premium assistance for the expansion population, and outlined major spending categories such as institutional care, long-term services, pharmacy, capitated payments, and supplemental payments. DHS also explained the difference between state plan amendments and waivers, and said it has a beneficiary-fraud unit that refers cases to local prosecutors. The Office of Medicaid Inspector General described its role in detecting and preventing fraud, waste, and abuse, distinguishing between suspensions for credible allegations of fraud and recovery actions for mistakes or overpayments. OMIG said it works with DHS and law enforcement, issues quarterly and annual reports, and has increased recoveries in recent years. The Attorney General’s Medicaid Fraud Control Unit explained that it prosecutes provider fraud criminally and civilly, can also handle long-term care neglect, abuse, and exploitation cases, and works with local prosecutors as special deputies. Committee members asked about court venue, provider suspensions, beneficiary fraud, education of providers, and the status of Medicaid expansion work requirements; DHS said it is preparing to implement community engagement requirements under HR 1 and will begin with a soft launch before full enforcement. No formal votes were taken beyond adoption of the minutes, and the meeting adjourned after questions were answered.